KCNH2 Variant D1106G Detail

We estimate the penetrance of LQTS for KCNH2 D1106G is 8%. We are unaware of any observations of this variant in individuals. D1106G is not present in gnomAD. We have tested the trafficking efficiency of this variant, 89% of WT with a standard error of 5%; in our analysis we used SE < 20% as 'high quality'. Approximately below 50% of WT is considered PS3 moderate and below 30% is PS3 strong. D1106G has not been functionally characterized. This residue is located in a Non_Hotspot region for LQT2. In silico predictions, functional data (if available), and location in structure are equivalent to observing 0 individuals with LQT2 and 10 unaffected individuals.These data combined with observations of carriers lead us to estimate the LQTS penetrance for KCNQ1 D1106G around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density (%)
-1.739 0.008 -2 0.505 0
PROVEAN scores less than -2 are considered deleterious. REVEL scores higher than 0.5 or 0.75 are considered likely pathogenic (higher sensitivity with the former cutoff, higher specificity with the latter cutoff). A PolyPhen-2 score of 0.85 or greater is considered likely pathogenic. BLAST-PSSM reflects the evolutionary conservation of residue substitutions, more negative numbers indicate fewer observations of the specific substitution than is expected. Penetrance density is our previously published method to calculate the average LQTS probability density in a shell of residues surrounding a residue of interest (Kroncke et al. 2019).

Reported Carrier Data

PubMed ID Year Carriers Unaffected LQT2 Other Disease
LITERATURE, COHORT, AND GNOMAD: - 0 0 0 -
VARIANT FEATURES ALONE: - 10 10 0 -
Summary totals might not agree with the literature table because of duplicate patients, which were excluded from the total counts. We do not distinguish here between multiple missense codons. Missense variants are combined across degenerate codon substitutions since codon-level data were not consistently available for curation.

D1106G has 31 previously observed neighbors within 15 angstroms

A residue within a folded protein on average has nearest neighbors that fall roughly into two shells: a "nearest" neighbor around 5-6 angstroms and a second shell around 11 angstroms. NOTE: some residues appear multiple times at different distances since the functional KV11.1 channel (protein product of KCNH2/hERG) is a homotetramer and occasionally the same residue from multiple subunits is present within the 15A window. All variants shown in the rightmost column have been observed in at least one individual in the literature or gnomAD.

Neighbor Distance (Angstroms) Variants Observed in Individuals
1106 0
1105 4 L1105S,
1107 4 S1107L,
1104 5 T1104I,
1108 5 L1108V,
1103 7 L1103P,
1109 7
1102 8
1110 8 Q1110P,
1101 8 P1101fsX,
1111 8 V1111F,
1100 9
1112 9
1099 10 P1099L,
1113 10
1098 11 S1098R, S1098R, S1098R,
1114 11
1097 11 V1097I,
1115 11 M1115T,
1096 12
1116 12 A1116V,
1095 13
1117 13 C1117fsX,
1094 13 L1094M,
1118 13
1093 14 P1093R, P1093L,
1119 14 E1119V, E1119Q,
1092 14 S1092F,
1120 14
1091 15
1121 15